ATLANTA SOUTH ENDOSCOPY CENTER LLC (NPI# 1669533568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669533568 |
| Entity Type | Organization |
| Organization Name | ATLANTA SOUTH ENDOSCOPY CENTER LLC |
| Other Organization Name | RIVERDALE ENDOSCOPY CENTER |
| Practice Address |
34 Upper Riverdale Rd Se Suite 201 Riverdale GA 30274-2635 |
| Practice Telephone | 6789049710 |
| Practice Fax Number | 6789049712 |
| Mailing Telephone | 6789049710 |
| Mailing Fax Number | 6789049712 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | JANA BAKER (ADMINISTRATOR) |
| Authorized Official Telephone | 4048887575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverdale Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
34 UPPER RIVERDALE RD SE SUITE 201 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192236 | Satyanarayan K Reddy | Internal Medicine | 34 Upper Riverdale Rd Se, Ste 200, Riverdale, GA 30274-2620 | 2005-05-31 |
| 1326258054 | Peter K Lee Md PC | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | 2007-05-23 |
| 1114085941 | Andre St. Clair Stuart | Family Medicine | 34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274-2635 | 2006-12-05 |
| 1770641953 | Mark Edward Couch | Nurse Practitioner | 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | 2006-12-04 |
| 1871675470 | Southern Regional Accident & Injury Inc. | Chiropractor | 34 Upper Riverdale Rd Se, Suite 100d, Riverdale, GA 30274-2635 | 2006-10-20 |
| 1023104379 | New Hope Urgent Care of Clayton | Clinic/Center | 34 Upper Riverdale Rd Se, Suite 100-h, Riverdale, GA 30274-2635 | 2006-10-05 |
| 1780629519 | Akinwole A Awujo | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-17 |
| 1619919750 | Sanjay Raj Jain | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-12 |
| 1912900937 | Palamalai Mahizhnan | Internal Medicine | 34 Upper Riverdale Rd Se, Ste 200, Riverdale, GA 30274-2620 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1275871147 | Panola Endoscopy Center LLC | Clinic/Center | 5403 Hillandale Park Court, Suite A, Lithonia, GA 30058 | 2013-01-28 |
| 1760778765 | Gastrointestinal Diagnostic Endoscopy Woodstock, LLC | Clinic/Center | 118 Mill St, Suite 100, Woodstock, GA 30188-4879 | 2011-06-28 |
| 1558662858 | Athens Endoscopy, LLC | Clinic/Center | 21 Jefferson Pl Ste 2, Athens, GA 30601-1761 | 2010-11-03 |
| 1518127398 | Snooze, LLC | Clinic/Center | 307 Market Ct, Canton, GA 30114-4562 | 2008-06-14 |
| 1184714214 | Gainesville Endoscopy Center, LLC | Clinic/Center | 2324 Limestone Overlook Ste 200, Gainesville, GA 30501-7443 | 2006-10-12 |
| 1023102266 | Cobb Endoscopy Center LLC | Clinic/Center | 3969 South Cobb Dr, Suite 207, Smyrna, GA 30080 | 2006-10-03 |
| 1659384329 | Endoscopy Center LLC | Clinic/Center | 1139 Lexington Ave Ste B, Savannah, GA 31404 | 2006-08-14 |
| 1194761908 | Gwinnett Endoscopy Center, PC | Clinic/Center | 301 Philip Blvd, Suite B, Lawrenceville, GA 30046-8745 | 2006-06-21 |
| 1063458909 | Woodstock Endoscopy Center | Clinic/Center | 900 Towne Lake Pkwy Ste 310, Woodstock, GA 30189-1604 | 2006-06-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.